1

The Intersection of

Community Development

and Health

September 28, 2011

2

100 or more

50–9920–49

10–19

Less than 10

No data

Per 1,000

3

King CountyWashington State

Seattle

Legend

Estimated Number of Uninsured14 - 736

737 - 1,503

1,504 - 2,649

2,650 - 4,124

4,125 - 6,374

100 or more

50-99

20-49

10-19

Less than 10

Per 1,000

4

Environment

Jobs

Community cohesion

Education

Housing

Health Inputs

Safety

5

Life Expectancy in the U.S. (1900 – 2009)

78.277.476.875.875.474.773.772.6

70.870.269.769.668.265.9

62.961.759.759

54.154.55048.747.3

0

10

20

30

40

50

60

70

80

90

Exp

ecte

d Y

ears

of

Lif

e at

Bir

th

6

Leading causes of death – United States

Mor

talit

y R

ate

Epidemiologic Transition

1900

Pneumonia

Tuberculosis

Diarrhea

2010

Heart Disease

Cancer

Stroke

7

King County Board of Health Guidelines: Planning for Healthy Communities

Safe pedestrian paths, sidewalks, and streets

Well designed and safe bicycle paths and lanes

Building and design standards that create safe, healthy, and accessible indoor environments

8

Project Goals Increase availability of healthy food and

beverage products in target communities

Increase in capacity of businesses to effectively participate in WIC/EBT

Increase capacity of store owners to profitably sell healthy food

Increase demand for healthy products in the participating businesses

8

9

Services Provided

9

• Merchandising, store layout • Produce handling, inventory management• Distribution/supply chain development• WIC/EBT application• Bookkeeping and financial systems • Marketing and store events

• Up to $700 for baskets, produce scales, shop vac, small shopping carts

• Up to $7500 (with 20% owner investment) for refrigeration, signage

• Low cost loans for larger store improvements

Financial Incentives Provided

10

BEFORE

AFTER

11

12

Upstream Midstream DownstreamPro-Equity Policies

No Racism

Affordable Housing

Access to Transportation

Good Paying Jobs

Quality Education

Healthy Environment

Low Birth Weight

Incarceration

Action at Societal Level

Action at Individual and Family Level

Safe Neighborhoods

Obesity

Untreated Mental Illness

Access to Healthcare

Poor Health Status

HomelessnessFair Standards of

Living

Physical Activity

Action atCommunity Level

Swim upstream

13

Global to Local

We believe Washington State

can make a global difference.

14

Global to Local

Compared to King County, Tukwila and SeaTac have:

1.5 times higher poverty and foreign-born

2.8 times higher teen birth rate

2.0 times higher rate of students receiving free lunch

15

Communities Count:Social and Health Indicators in King County

● Data collected across 5 domains

1. Basic Needs and Well-Being (e.g. a safe place with parks, libraries, schools, transportation)

2. Positive Development through Life Stages (e.g. school readiness, quality & affordable childcare)

3. Safety and Health (e.g. crime, infant mortality, tobacco use, teen births)

4. Natural and Built Environment (e.g. air & water quality, commute choices)

5. Arts and Culture (e.g. participation, funding, employment)

16

Communities CountSample results

17

Moving Forward

What Public Health Offers Health is highly valued by the public Data Existing relationships with the community

Community Development Understanding of finance and lending mechanism Models of public and private funding models Relationships with business and private sector

18

You must be the change you want to see in the world.

-Mahatma GandhiDennis E. WorshamRegional Health OfficerPublic Health- Seattle & King Countydennis.worsham@kingcounty.gov